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What Is The Possible Reason For This Fever And Chills?

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Posted on Tue, 14 Jan 2020
Question: What is the possible reason for this fever and chills?
doctor
Answered by Dr. Anders Mark Christensen (52 minutes later)
Brief Answer:
Not uncommon to experience this

Detailed Answer:
Hi Zeiksean,

What you describe is not at all uncommon, i.e. persisting fever even though you feel better. As long as you keep getting better, there is nothing in particular you have to do. It would be nice to know if you had blood or urine cultures taken when you saw your doctor or went to the ER, as can help target the specific bacteria in your body.
There is also the possibility that the infection has spread to your kidney pelvis (pyelonephritis) but that is almost always associated with flank pain - do you experience this? If so, it may be indicated to receive i.v. antibiotics continuously for a few days.

Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Anders Mark Christensen (54 minutes later)
Thank you for your response doc. They did blood and urine cultures PCR testing but all results are negative . Is it possible to have a uti but not show bacteria in culture? No flank pain.
Can you have a silent pyelonephritis? Like I have no flank pain, not even dysuria. Besides some urgency and frequency my urine looks and feels great. Stream is good too now. Before it was spraying during the end or middle of urination. Not anymore. Only thing abnormal on my urine test was low specific gravity. It was normal two days ago but second test was low. Said less than equal to 1.005. Two days before it was 1.020. I was in emergency twice.
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Follow up: Dr. Anders Mark Christensen (4 minutes later)
In addition to my previous message. Urine had no pus , blood or bacteria. Three tests and cultures were done. Once the fever goes down with Tylenol I feel totally normal but it comes back .
doctor
Answered by Dr. Anders Mark Christensen (57 minutes later)
Brief Answer:
Could be something besides UTI

Detailed Answer:
Hi again Zeiksean,

I would say that in the absence of bacteria in your urine from cultures, you do not have a urinary tract infection, unless the cultures were taken after you started antibiotics.
Silent pyelonephritis is not a clinically acknowledged term, and flank pain is almost obligatory. A low urinary gravity without pus cells, nitrite, etc. in your urine is an insignificant finding.

If you feel like you are getting better slowly, I would suggest you do nothing. If not, you should have a complete physical looking for other sources of infection (ear, throat, lungs, skin, bowels, etc.).

How do you feel about that plan?
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Anders Mark Christensen (45 hours later)
That sounds like a great plan. One thing I wanted to ask: i just noticed a change in my semen colour to yellow. Should that be of concern?
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Follow up: Dr. Anders Mark Christensen (0 minute later)
It was after 3 weeks I tried to see if everything is working well down there . And noticed the colour of ejaculate.
doctor
Answered by Dr. Anders Mark Christensen (42 minutes later)
Brief Answer:
No, that seems perfectly fine

Detailed Answer:
Hi again Zeiksean,

That is no cause for concern, it may change with changes in your physical health, e.g. intermittently during acute illness.

Hope this helps.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1563 Questions

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What Is The Possible Reason For This Fever And Chills?

Brief Answer: Not uncommon to experience this Detailed Answer: Hi Zeiksean, What you describe is not at all uncommon, i.e. persisting fever even though you feel better. As long as you keep getting better, there is nothing in particular you have to do. It would be nice to know if you had blood or urine cultures taken when you saw your doctor or went to the ER, as can help target the specific bacteria in your body. There is also the possibility that the infection has spread to your kidney pelvis (pyelonephritis) but that is almost always associated with flank pain - do you experience this? If so, it may be indicated to receive i.v. antibiotics continuously for a few days. Hope this helps. Please let me know if you have further questions.